04-8233 (SFD)BUILDING & SAFETY DEPARTMENT
R.O..-Box 1504
(760).777-.7012
OF T9 78-495 TAMPICO
FAX 160) 777-7011
AQUI CALIFORNIA'92253 INSPECTION REQUESTS (760) 777-7153
BU1LC4NG.PERM1T-:
MAR 31-2005
p INWtolb9la &mer
1W(f4s7000,0
Date 2/22/05
.ro . ...
. . . ""43244 '.PAR''WAK" Y,.ESPLANADE
W
APN:
60:9''.3.80.-997-6':'9.,... -293233-
Application description
DWftLANG -SINGLE FAMILY
DETACHED*
Property Zoning . . .
.. . . LOW'.: -DENSITY RESIDENTIAL
Application valuation'..
'201360.'�
Owner
Contractor.*
------------------------
PONDEROSA HOMES II, LLC
--------------------------
PONDEROSA HOMES
II, INC.
400 S. FARRELL DRIVE,,,-
B1033. 6671,0WENS DRIVE
PALM SPR,INGS,,CA,9.2264
PLEASANTON
CA 94588
LA QUINTk dA, 922.,$3 (7.60')- 116-771-0
WCC: -TANNER
INSUR
WC 15671603
10/01/05
CSLB. 7528-.84 -
08/31/06
CCC-:: B
--------------------------
Structure In'f'ormation -----------------
7
Construction.Typ4
TYPE V- NON RATED
Occupancy Type .
. . . DWELL6/L;oqING/CONG <=10
Flood Zone . . . . .
. . . NON -AO FLOOD ZONE
Other struct info
CODE 'EDI.TION.-
2,001 CRC
#'' BEDROOMS
5.00
F!RE-SPRi,NkL*ERS
NO
..GARAGE SQ -FTG
502.00
Tl-, P.P1 FTG
500.00
NUMBER -OF 1U. -ITS.
1.00
1ST-FLOOR'SQUA RE FOOTAGE
3232.00
------------------------ --------------
Permit . . . . . . BUILDING
----------- 7 -------------------------
PERMIT
Additional desc
Permit Fee . . . .
996. 50% Plan,Check Fee,,
647.73
Issue Date
'
Valuation
201360
Qty Unit Charge
Per
Extension
BASE FEE
639.50
102.00 3 ..50 o b
THOU BLDG 100,00.1'500,.000
------------------------------
35.7.00
----------------------------------------
Permit . . . . . . MECHANICAL
Additional desc
Permit Fee
, Plan.'Check Fee
-83.-50. ee
20.88
Issue Date
Valuation
0
Qty Unit Charge
Per
Exten . sion
BASE,' FEE
15.00
2.00 9.0000 -EA
MECH FURNACE <=100K
18.00
2.00 9.00.00
EA MEClf B'/'C*,'<'=MP/100K. BTU
18.00
P.O. BOX 1504 • VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92.253 4INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 04 Date: 3 -30,0S -
Applicant: Architect or Engineer:
Applicant's Mailing Ad r•ess: Architect or Engineer's Address:
Lic. No.:C. (0 48 3
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Code, and my Licensejq in full force and effect.
cense Class �S _-L.+ar~nse No. —7,57—'!606<4
Date /rector PCOao�.-
OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed
statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars ($500).):
U I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work
himself or herself or through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is
sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.).
U I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors'
State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Contractors' State License Law.).
U I am exempt under Sec. , BA P.C. for this reason
Date
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
UlI have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My workers' compensation i ante carrier and otic u ber re:
amer_ T'G. tr.� y
�� .-Policy Number � policy
l�0
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions. ,
,,�ate 3" b' -n5 A,,plicant 1' v-�we 2.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name
Lender's Address
T
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnify and hold harmless the City of La Quinta, its
officers, agents and employeesfor any act or omission related to the work being performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or
cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes.
Date X3 -SID —D 5Sigh nature (Applicant or Agent):
Page
2
Application
Number
. . . . 04-00"00.8233 Date
2%22/05
Qty
Unit Charge:
Per
Extension
4.00
6.5000
EA .MECH VENT 'FAN.
26.00
1.00
6.5000..EA
MECH EXHAUST HOOD
6.50
---------------
Permit
-----------
. . . .
----------------------------.----------.--
ELEC-NEW RESIDENTIAL
----------
Additional
desc
Permit Fee
. . . .
138.16. Plan'Check Fee
33.87
Issue Date
Valuation
0
Qty
Unit Charge
Per j
Extension
1BASE FEE
15.00
3232.00
.0350
ELEC.-,NEW RES.- 1 ,OR 2 ,FAMILY
113.12
502,.00
.0200
ELEC GARAGE.OR NON. -RESIDENTIAL
10.04
Permit .
. . . . .
PLUMBING:
Additional
desc
Permit Fee
. . . .
196.50 Plan Check Fee
44.63
Issue Date
. . . .
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
21.00
6-.0000.
EA .. PLB''F,IXTURE
126.00
1.00
15.0000
. _
EA PLB BUILDING,.SEWER
15.00
1.00
7.:5000
'EA PLB WATER HEXTER'/VENT >.
7.50.
1.00
3.0000
EA PLS'WATER I"NST/ALT/REP
3.00
1.00
9:0000
EA PLB LAWN:'SPRINKLER SYSTEM
9.00
8.00
:'.7500
EA PLB GAS`PIPE >=5
6.00
1.00
15.0000
EA :;PLB GAS.. METER, a
15.00
----------------------
Permit
--------------------
----------------- _----------------------
;
GRADING PERMIT t
Additional
desc
Permit. Fee
15.00 Plan Check` Fee
.00
Issue Date
. . . .
Valuation
0
Qty.
Unit,Charge
Per
Extension
BASE FEE
15.00
Special Notes
and :Comments,
SFD - LOT
69. Pt, .3CXL+OPTION.BEDROOM
5/BATH 4 (17
9 'SF)"_. W/2
CAR ` GARAGE ''( GARAGE
502 SF).PERMIT
DOES NOT INCLUDE BLOCK.
WALLS•, POOL,
SPA,, -OR
DRIVEWAY:-A.PPROACH.
Other Fees
. . . . .
... . ART: *IN!rP>UBLICr.:PLACES-RES.
.20.:00
DIF COMMUNITY CENTERS -RES
97.00
Page 3
Application Number . . . . 04-00008233 Date 2/22/05
----------------------------------------------------------------------------
Other Fees . . . . . . . . . DIF CIVIC CENTER - RES 366.00
ENERGY REVIEW` FEE 64.77
DIF FIRE PROTECTION -RES 97.00
GRADING PLAN CHECK FEE 00
DIF LIBRARIES - RES 225.00
DIF PARK MAINT FAC - RES 5.00
.DIF PARKS/REC - RES 502.00
STRONG MOTION (SMI) - RES 19.46
DIF STREET MAINT FAC -RES 15.00
DIF TRANSPORTATION - RES 1098.00
Fee summary
-----------------
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Charged Paid
1429.66
.00
747.11
.00
2509.23
.00
4686.00
.00
Credited Due
.00
1429.66
.00
747.11
.00
2509.23
.00
4686.00
12/29/2005 16:44 FAX 7149212187 ALLIANCE XECHANICAL 0006
INSTALLATION CERTIFICATE
CF -6R
LOT # PLAN #
Site Address/1 ,3_ biz y �wa�`�I r)t Dumber
An installation cert` ificate is required t`of be (posted at the building site ormadeavailable for all appropriate inspections. (The
information provided on this form is required) After completion of final inspection, a copy must be provided to the building
department (upon request) and the building owner at occupancy, per Section 10-103(a).
RVAC SYSTEMS:
Heating Equipment
Equip Type
--Lok g. heatum
CEC Certified Mfr.
Name and Model
Number
tY of
Identical
-systems
EffiC1eOcy
(AFUE. etc.) t
2CF-Ikralue
Duct
Location
attic etc.
Duct or
Piping
R•value
Cooling
Cooling
Heating
Load
Btu/hr
Heating
Capacity
Btu/hr)
systems
FURNACENSMQO�rSFi
Location
attic eta.
Duet
R -value
80$
ATTIC
Cooling Equipment
Equip Type
CEC Certified Mfr.
Name and Model
k of
Identical
Efficiency
(SEER or EER) t
Duct
Cooling
Cooling
(Pkg. heat um
Number
systems
aCF-IR value
Location
attic eta.
Duet
R -value
Load
Btuthr
Capacity
enilhr
A/C
2+O
fZ-
ATTIC
Z
1eQQ
I. > symbol reads greater than or equal to what is indicated on the CF. IR value.
Include both SEER and EER if compliance credit for high EER air conditioner is claimed.
1, the undersigned, ver! that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or more
efficient than that spe fi in the ificate of compliance (Poem CF -IR) submitted for compliance with the Energy
Efjicie y Standards or id en ' 1,b ildings, and 3) equipment that meets or exceeds the appropriate requirements for
manu/a turgid devic ( m t A !ante EBiciency Regu/ationa or Part ti), where applicable.
ALLIANCE MECHANICAL CORP.
o Installing Subcontractor (Co. Name)
OR General Contractor (Co. Name) OR Owner
COPY TO: Building Department
HRS Rater (if applicable) '
Building Owner at Occupancy
Residential Compliance Forms March 2005
12/29/2005 16:45 FAX 7149212187 ALLIANCE MECHANICAL 007
INSTALLATION CERTIFICATE
• ' I' I CF -6R
Site Address
Permit Number
INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE
c o ies to: Builder. HERS Kater, Building Owner at Occupancy and Bt
INSTALLER COMPL A.NCE STATEMENT
The building was: ✓ OXrested at Final ✓ ❑ Tested iii Rough -in
INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE:
M Remove at least one supply and one return register, and verify that the spaces between the register boot and the interior
finishing wall are properly sealed.
❑ If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points
between the air handler and the supply and return plenums to verify that the connection points are properly scaled.
0 Inspect all joints to ensure that no cloth.backed rubber adhesive duct tape is used
✓ ❑ DUCT LEAKAGE REDUCTION
Procedures forfield vert nation and dia nostie testing of air distribution s stens are available in RACM Appendix RC4.3
NEW CONSTRUCTION:
Duct Pressurization Test Results (CFM ® 25 Pa) MeasuredsiT::_:.
Values
I Enter Tested Leakage Flow in CFM:
Fan Flow: Calculated (Nominal: ✓ O CoolingHeating) or ✓ O Measured
2 if Fan Flow is Calculated as 400 cfn✓ton x num r of tons oras 21.7 cfm/(kBtu/hr) x Heating
—Capacityin Thousands of Btu/hr, enter total calculated or measured fan flow in CFM here: Q� ✓ ✓
3 Pass if Leak% a Percentages 601/19 for inal or:5 4% at Rough -in: p
100 x Line # l / Line # 2 r�r 0� ass .Fail
NEW CONSTRU TION:
Duct Pressurization Test Results (CFM @ 25 Pa)
Measured 1:
I Enter Tested Leakage Flow in CFM: Values s?t+�:i
Fan Flow: Calculated
(Nominal: ✓ p Coolin ✓ O Heating) or ✓ O Measured -'- `'-' - •'" - "
2 If Fan Flow is Calculated as 400 cfm/ton x nt ber of tons or as 21.7 cfnV(kBtu/hr) x Heating /n %�
Capacity in Thousands of Btu/hr, enter total Calculated or measured fan flow in CFM here: 10 ✓ V
3 Pass if Le Percentages 6% for Final or:5 4% at Rough -in:
100 x Line # 1 / Line # 2 � �ssE) Fail
NEW CONSTRUCTION:
Duct Pressurization Test Results (CFM ® 25 Pa) Measured `"+i;•.
I Enter Tested Le Values
Leakage Flow in CFM: -_
Fan Flow: Calculated (Nominal: ✓ ❑ Cooling ✓ O Heating) or ✓ ❑ Measured t
2 If Fan Flow is Calculated as 400 cWton x number of tons or as 21.7 cfm/(kBtu/hr) x Heating
Ca aci in Thousands of Btu/ltr enter total calculated or meas ed fan flow in CFM here: ✓ ✓
3 "Pass if Leakage Percentages 6% for Final or 5 4% at Rough -in:
100 x Line # I / Line # ml 0 Pass O Fail `.
V ❑
were performed in
installed or tett fit
Section 150 m of
Signature , ,
Residential Compliance Forms
I, tate undersigned, verjfy that the above diagnostic test results
with the requirements for compliance credit. 1, the undersigned,. also certify that the newly
ion System Ducts, Plenums and Fans comply with Mandatory requirements specified in
Itiin R--' L"Ar-;—, e_J__J_
installing Subcontractor (Co. Name) OR
General Contractor (Co. Name)
March 2005
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Tight Duds & TX CF4R
Project Title:
Masole ® Esplanade
Project Address:
Builder Name:
La Quint&
Pondemsa Homes
Voice-#: 925.460-8900
Builder Contact:
Jeff Nygren
Voice 0:
Project ID #:
29323
Semple Group 0:
Phase: 10
Lot tt`
69
Plan 9:
3
Address:
43-244 Parkway Esplanade West
HERS INFORMATION
HERS Rater:
Scott Johnson Jayme Carden
Certification fl :
CCNSJ61d037 CCNJC615157
HERS Finn:
Action Now
Voice 0: 949.631-2274
Address:
2576 Westminster Avenue, Costa Mesa, CA 92627
HERS Provider:
CHEERS
Voice # : BOD -424-3377
HERS Address:
9400 Topanga Canyon Blvd., Chatsworth. CA 91311
HERS RATER COMPLIANCE STATEMENT
T-24 Compliance Credit was Taken for Tight Ducts
y, T-24 Compliance Credit was Taken for TXV TXV Verltled ves�
The house was:
x Tested / Verfied =Approved as a part of sample. but wet not tested
x The installer has Prov ed a copy of CF -6R
x Air Disirlbutlon System is Fully Ducted (sheetmetal. ductboard or flex duct)
Whom cloth backed rubber adhesive duct tape is installed, mastic and drowbands are used in combination with
cloth backed rubber adhesive duct tape to seal leaks at the connections.
MINIMUM REQUIREMENTS FOR DUCT LEAKAGE COMPLIANCE CREDIT
Duct Diagnostic Leake a Testing Results (Maximum 6% Duct Leakage)
CFA: CFA Leak Max UTested Leak^�
System o
Indicate the ax�mum a ovia le Duct Leakage and the calculation used:
0.7 x Floor Area x (0.06) fur Climate Zone 8 through 15
0.5 x Floor Area x (0.08) for Climate Zones 1 through 7 & 18
x 400 x (Cooling Capacity in Nominal Tons) x (0.06) tan flow
21.7 x (Heating Cepaci .n Thousands of Output BTU per hour) x (0.06)
Measured Fan Flow —-1! x ve
uct Pressurization Test Results (CFM Q PA) 98
100 x Test Leakage/ fan flow = % Leakage
Check Box for Pass or Fail (Pass = 6% or Less) Pass x Faill
System of �i
Indicate the mexrmu f al owa le Dud Leakage and the calculation used:
0.7 x Floor Area x (0.06) for Climate Zone 8 through IS
0.5 x Floor Area x (0.08) for Cllmate Zones 1 through 7 & 18
x 400 x (Cooling Capacity in Nominal Tons) x (0.06) ion fly'
21.7 x (Heating Capacity in Thousands of Output BTU per hour) x (0.06)
Measured Fan Flow I
' 2 x.06
u Pressurization Test Results (ChM 6 PA) 93
100 x Test Leakage/ fan flow _ % Leakage
Check Box for Pass or Fail (Pass = 6% or Less) Pass x a�
Systemof
Indicatethe maxirum 8 o:f2 a Duct Leaige and the Calculation. used:
0.7 x Floor Area x (0.06) for Climate Zona 8 through 15
0.5 x Floor Area x (0.06) for Climate Zonas 1 through 7 & 16
400 x (Cooling Capacity In Nominal Tons) x (0.06) fan flow
21,7 x (Heating Capacity in Thousands of Output BTU per hour) x (0.06)
Measured Fan Flow x.06
uct Pressurization Test Results 5 PA)
100 x Test Leakage/ fan flow = % Leakage
Check Box for Pass or Fail (Pa = 6% or Less) Pass ai
Raters Certifying Signature Date
F2001.02 (4-02) Action NOw T 24CF4RTD&TXVmeem.xls
12/28/2005
INSULATION CERTIFICATE
This is to certify that insulation has been installed in conformance with the current energy
regulation, California Administrative Code, Title 24; State of California, in the building at
43-224 PARKWAY ESPLANADE WEST, LOT 88, PHASE 10, LA QUINTA, CA
CEILINGS:
TYPE: BATTS MAUNFACTURER: Certainteed THICKNESS: R-38
WALLS:
TYPE: BATTS MANUFACTURER: Certainteed THICKNESS: R-13
GENERAL CONTRAC R: PONDEROSA MOMES 11, INC. LICENSE # 7-z,Z
BY:TITLE:
PA GON SCHMID BUILDING PRODUCTS A MASCO Company. LICENSE # 221517
BY%Li[ t L� LG�.r TITLE: ACCOUNT REPRESENTIVE DATE: �d V